Know Your Rights: Consumer Health Coverage Info

This consumer brochure addresses how to access care through your Medi-Cal managed care plan and your rights if you are not getting the health care you need.

This HCA factsheet address the Early and Periodic Screening, Diagnostic, and Treatment (ESPDT) program and how children access EPSDT services. The fact sheet also addresses other Medi-Cal programs that provide special services to children under 21.

This Department of Health Care Services factsheet outlines existing Medi-Cal coverage for individuals with DACA status (Deferred Action for Childhood Arrivals).

This roster should be used to request fee for service (FFS) non-medical transportation (NMT) for Medi-Cal beneficiaries. Non-Medical Transportation (NMT) is defined as transportation provided by ordinary forms of conveyance including passenger car, taxicab, or any other form of public or private transportation, including private vehicles.

In an updated series of fact sheets called Protect Medicaid Funding, NHeLP provides succinct analysis of the policy proposals that if enacted would jeopardize the health and financial security of the tens of millions of low-income individuals who depend on the Medicaid guarantee every year.

Has Medi-Cal told you No?  You have options! Use the link above to access a valuable resource presented by the Health Consumer Alliance and learn how to make them say Yes!

The National Health Law Program's (NHeLP) experts cover a number of issues impacting access to and the quality of care for low-income and underserved people and families. This issue brief analyzes the legal requirements that require County Medical Health Plans (MHPs) to ensure Medi-Cal beneficiaries’ access to Specialty Mental Health Services (SMHS) and maintain adequate provider networks. It also discusses the different types of enforcement and monitoring tools to hold MHPs accountable.

Western Center’s Getting and Keeping Health Care Coverage for Low-Income Californians: A Guide for Advocates provides California advocates with the relevant statutes, regulations, and guidance needed to help their clients access health care coverage.

If you are on Medi-Cal and in a “managed care plan", you will need to receive most or all of your healthcare from a provider in your health plan. Discover how to navigate Medi-Cal and Managed Care to receive the best health care for you with this fact sheet.

Did you know that Medi-Cal covers cancer screening and treatment? Use this resource to access essential information about how to leverage these crucial resources.

California is making major changes to the delivery of Medi-Cal services over the next two years. NHeLP has created a fact sheet briefly outlining some of these upcoming changes to Medi-Cal services in 2023-2024 and discusses important consumer protections that are designed to ensure that beneficiaries maintain access to needed care during these major programmatic transitions. (Jun. 2023)